PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN


Address: 1934 Bluff Ct, Troy, MI 48098-6616
Phone: 2483120005

PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN (NPI# 1801453287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801453287
Entity Type Organization
Organization Name PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN
Practice Address 1934 Bluff Ct
Troy
MI 48098-6616
Practice Telephone 2483120005
Practice Fax Number 2489402949
Mailing Telephone 2483120005
Mailing Fax Number 2489402949
Enumeration Date 2019-05-21
Last Update Date 2019-05-21
Authorized Official Name MRS. REGINA C SHADE (CONSULTANT)
Authorized Official Telephone 5862602858
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1770551301 05
MI 1316244304 05

Office Location

Street Address 1934 BLUFF CT
City TROY
State MI
Zip Code 48098-6616

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053949289 Douglas Ross Physical Therapy Assistant 4062 Livernois Rd, Troy, MI 48098 2020-04-01
1104382837 Minxes Inc Chiropractor 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 2019-02-19
1689160053 Nyssa J Swanson Physical Therapist 5440 Corporate Dr Ste 400, Troy, MI 48098 2018-07-09
1447742580 Rebecca Jane Stros Counselor 900 Tower Dr, Troy, MI 48098 2018-06-05
1356863278 Brigette Johnson Occupational Therapist 4794 Riverchase Dr, Troy, MI 48098 2017-07-12
1912448382 Devyn Depeter Technician/Technologist 5877 Livernois Rd Ste 104, Troy, MI 48098 2017-03-17
1285025015 Rochester Knee & Sports Medicine PC Durable Medical Equipment & Medical Supplies 4600 Investment Dr Ste 120, Troy, MI 48098 2015-02-16
1649690231 Tammy Beesley-schick Registered Nurse 4568 Odette Ct, Troy, MI 48098 2014-04-22
1306269584 Medi-care Ambulance 5741 Faircastle, Troy, MI 48098 2014-01-24
1881953644 Diane Marie Bald Social Worker 1707 White Birch Ct, Troy, MI 48098 2012-05-14
Find all providers in zip 48098

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417222779 Sujatha Buddhe Pediatrics 2289 Dorchester Dr N Apt 203, Troy, MI 48084-3723 2012-03-19
1083608806 Anuradha Prabhu Pediatrics 44199 Dequindre Rd Ste 615, Beaumont Pediatric Subspecialty Clinic, Troy, MI 48085-1128 2005-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316244304 Rossitza Prokopieva Pironkova Pediatrics 43380 Woodward Ave Ste 105, Bloomfield Hills, MI 48302-5050 2011-02-28
1881709871 Hani Zreik Pediatrics 900 Cooper Avenue, Suite 4200, Saginaw, MI 48602-5394 2006-08-20
1326080102 James Lee Christiansen Pediatrics 1414 West Fair Ave, Ste 334, Marquette, MI 49855 2006-06-13
1700826542 James L Christiansen Md PC Pediatrics 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 2006-06-08
1679511737 Richard A. Humes Pediatrics 3901 Beaubien Blvd -, Childrens Hospital of Michigan 4th Fl, Detroit, MI 48201 2006-06-02
1174560668 Peter P. Karpawich Pediatrics 3901 Beaubien - 4th Fl, Childrens Hospital of Michigan, Detroit, MI 48201 2006-06-01
1013977115 Elliott Weinhouse Pediatrics 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073-6770 2006-03-24
1770551301 Hanna Michel Khouri Pediatrics 43380 Woodward Ave, Ste 105, Bloomfield Hills, MI 48302 2006-03-09
1013903947 Linda Barbara Pauliks Pediatrics 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 2005-09-26
1639175342 Stephen Christopher Cook Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2005-06-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City TROY
Zip Code 48098

Improve Information

Please comment or provide details below to improve the information on PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches